Summary for Test 2020-09-03-8-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 214702 DEA: 030F2864 EFIS: 0320000123 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-99-7.92 / 8.4 |
| Award Date | 06/24/2020 |
| Closeout Date | 11/28/2023 |
| Work Description | Remove and replace Consumnes River and Consumnes River Overflow bridge |
| Location Description | Sacramento County |
| QA Service Level | 1 (Verified on 04/20/2020) |
Sample Information
| Sample Taken Date | 09/03/2020 | Sample Unique Key | 8 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 09/08/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 252 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Robert | Last name of sampler or witnessed by | Anderson |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Scougal Rubber | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 19055-1, 2, 3, 4 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 6 |
| Description (size) | 6.33" x 21" x 21" | Comments | |
| Description (Number of Shims) | 11 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
| Batch Number | NA |
Test Details
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DIME Sample ID: 2020-09-03-8
DIME Test ID: 2020-09-03-8-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-09-10
Test Results
Input Type: Measured
Tester's full name: Rheanna Andelin
Date of test: 09/10/2020
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 9/10/2020 ✔